The County Health Rankings is the most comprehensive report of its kind to rank the overall health of nearly every county in all 50 states. The report uses a standard way to measure how healthy people are and how long they live. The County Health Rankings report helps residents understand how certain factors, such as where they live, learn, work and play influences how healthy they are and how long they live. This is the third year the report has been published and Putnam County continued to be ranked number one in health outcomes.